风险管理模式在骨科术后患者压疮护理中的应用有效性探究

Application of risk management nursing care intervention in surgery for pressure ulcers nursing after orthopedics operation

目的通过观察风险管理模式在骨科术后患者压疮护理中的应用,了解骨科术后患者压疮产生情况及康复情况,并分析患者护理满意度,以期为临床骨科术后护理工作提供有价值的理论依据。方法选择2013年5月—2014年5月在浙江省人民医院接受手术的240例骨科患者作为干预组,给予风险管理模式的护理干预;同时选择2012年4月—2013年4月的240例骨科患者作为对照组,给予常规模式护理干预。统计2组患者压疮发生情况、首次下床时间与住院时间。采用SPSS 19.0软件进行统计学整理和分析,计量资料以(x±s)表示,行t检验,计数资料行χ2检验,以P<0.05表示差异有统计学意义。结果 2组患者压疮发生情况相比,观察组为3例,对照组为14例,2组相比差异具有统计学意义(P<0.05);观察组患者首次下床时间与住院时间为(27.31±4.33)h和(18.88±8.67)d,而对照组分别为(43.12±8.04)h和(24.14±7.55)d,2组相比,差异具有统计学意义(P<0.05)。结论风险管理模式护理干预能明显缩短骨科患者住院时间,减少压疮发生率,保障患者安全,且得到患者及其家属认可,值得在临床上进一步推广。

Objective By observe risk management of pressure ulcers in patients after orthopedic care in the application of orthopedic patients to understand the situation and rehabilitation generate pressure sores, and analyze patient satisfaction with care in order to provide valuable clinical orthopedic surgery nursing theory. Methods 240 patients with orthopedics operation in our hospital from May 2013 to May 2014 were selected as observation group, they got risk management nursing care intervention. 240 patients with orthopedics operation in our hospital from April 2012 to April 2013 were selected as control group, they got routine nursing care intervention. The incidence rate of pressure sore, the first time of get out of bed and hospitalization time in two groups were recorded;statistical software SPSS 19.0 were used for collation and analysis of measurement data （^-x ± s） said t test, count data line by X^2 test, P 〈 0.05 was set as significant difference. Results The number of pressure sores in observation group was 3, and in the control group was 14, the difference between the two groups was statistically significant （ P 〈 0.05 ）. For the first time of get out of bed and hospitalization time, observation group was （27. 31 ± 4. 33 ） hours and （18.88 ± 8.67 ） days, while control group was （43. 12 ± 8.04 ） hours and （ 24.14 ±7.55 ） days, the difference between the two groups was statistically significance （ P 〈 0.05 ）. Conclusion Risk management nursing care intervention can significantly shorten the hospitalization time and reduce the occurrence of pressure sore, and was recognized by patients and their families, thus worth of further promotion in clinical practice.